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1174145403
TIFFANY NICOLE FONTENOT
COLORADO SPRINGS, CO
NPI
1174145403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.09926511)
Enumeration Date
2020-05-08
Last Update Date
2020-05-08
Business Address
Mrs. TIFFANY NICOLE FONTENOT
7047 WAGON RIDGE DR
COLORADO SPRINGS, CO 80923-8743
Phone number: 719-437-9951
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Mailing Address
Mrs. TIFFANY NICOLE FONTENOT
7047 WAGON RIDGE DR
COLORADO SPRINGS, CO 80923-8743
Phone number:
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